How to treat neonatal hemolytic jaundice

The treatment of neonatal hemolytic jaundice requires the selection of appropriate methods based on the severity of the disease, including phototherapy, drug therapy, and exchange transfusion therapy. Early intervention should be made to avoid complications.

1) Phototherapy

Phototherapy is one of the first-line treatments for neonatal hemolytic jaundice. Through special blue light irradiation, bilirubin is converted into water-soluble substances on the skin surface, making it easier for the baby to metabolize and excrete. During treatment, care should be taken to protect the baby's eyes and genitals, and the duration and intensity of each phototherapy must be adjusted according to the doctor's advice. If the jaundice is mild, phototherapy can usually significantly improve symptoms within a few days.

2) Drug treatment

For moderate cases, if phototherapy is not effective, medication can be used in combination. For example, intravenous immunoglobulin (IVIG) can be used to reduce red blood cell destruction and bilirubin production. At the same time, based on the etiology, bilirubin-promoting drugs may be needed to help the baby metabolize quickly. However, medication must be taken under the guidance of a doctor, and self-medication is not recommended.

3) Exchange blood therapy

If jaundice is very severe, acute bilirubin encephalopathy occurs, or conventional treatment is ineffective, exchange transfusion therapy is a key means. By replacing the baby's blood, the high bilirubin level is quickly reduced and the anemia caused by hemolysis is corrected. This method is suitable for babies with critical conditions and is performed under strict monitoring conditions.

4) Proper feeding

Breastfeeding can help improve mild jaundice, because feeding can stimulate the baby's intestinal peristalsis and accelerate the excretion of bilirubin. If breast milk jaundice is too high, breastfeeding can be temporarily stopped and replaced with formula milk, and then breastfeeding can be resumed after the jaundice subsides. Similarly, it is also very important to ensure adequate water and nutritional intake.

The treatment of neonatal hemolytic jaundice requires the selection of the most appropriate method under the guidance of a doctor. Taking intervention measures as early as possible can reduce the impact of the disease on health. If the baby's jaundice is found to be severe, does not subside for a long time, or is accompanied by symptoms such as drowsiness and refusal to feed, you should seek medical attention immediately. Parents should always pay attention to the progress of treatment and cooperate with the doctor to adjust the treatment plan to ensure the health and safety of the baby.